Individual provider Active NPI

Pavneet K Grewal, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1750741963
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130460 Issued in TX
Practice address
9250 Amberton Pkwy
Dallas, TX 75243-3224
Phone
(682) 236-3656
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130460 TX Primary

Addresses

Primary practice location

9250 Amberton Pkwy
Dallas, TX 75243-3224

Mailing address

9250 Amberton Pkwy
Dallas, TX 75243-3224
Phone (682) 236-3656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412002344 TX Practitioner - Nurse Practitioner 2668779109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

2329 Parker Rd
Carrollton, TX 75010-4713
Phone (469) 892-1400

4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP130460TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Canopusmd, PLLC CurrentSince Feb 1, 2021 Accepting new patients
Texas Health Physicians Group CurrentSince Feb 1, 2017 Accepting new patients
Texas Health Physicians Group CurrentSince Feb 1, 2017 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Aura Hospice Inc Current Accepting new patients
Wellmed Medical Group, PA PastSince Apr 1, 2016 Accepting new patients

Locations

2329 Parker Rd
Carrollton, TX 75010
Phone (469) 892-1400

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

9250 Amberton Pkwy
Dallas, TX 75243
Phone (214) 860-6300

5055 W Park Blvd
Ste 400
Plano, TX 75093
Phone (901) 826-7075

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1750741963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 AMBERTON PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433224",
            "telephone_number": "682-236-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 AMBERTON PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433224",
            "telephone_number": "682-236-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "PAVNEET",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.